Individual
AMANDA BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1406 Q ST, FRANKLIN, NE 68939-1073
(308) 425-6221
Mailing address
1710 Q ST, FRANKLIN, NE 68939-1007
(402) 984-9566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1067
NE
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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